FDA Adverse Event
Malfunction
Summary report: N
CONMED
MDR report key: 21376779
·
Received February 13, 2025
Report
- Report Number
- 21376779
- Event Type
- Malfunction
- Date Received
- February 13, 2025
- Date of Event
- January 21, 2025
- Report Date
- February 6, 2025
- Manufacturer
- UNIMAX MEDICAL SYSTEMS INC.
- Product Code
- GCJ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- UT
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
CONMED MINI ENDO POCKET BROKE AND ARM SNAPPED IN HALF WHILE INSIDE OF PATIENT. PIECES WERE RETRIEVED. MANUFACTURER RESPONSE FOR LAPAROSCOPE, GENERAL PLASTIC SURGERY, CONMED (PER SITE REPORTER). WAITING FOR THEIR RESPONSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 125416 | CONMED | LAPAROSCOPE, GENERAL PLASTIC SURGERY | GCJ | UNIMAX MEDICAL SYSTEMS INC. | SB534 | 6252006036 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 33 YR | Female |